摘要
目的:了解我院门急诊处方中不合理用药的总体情况,分析发生不合理用药的原因,为临床合理用药提供参考。方法:收集我院2018年1~12月门急诊处方,将其中不合理处方进行分类,利用帕累托图分析主要因素、次要因素及一般因素。结果:造成我院门急诊处方不合理用药的主要因素为临床诊断书写不全、用法用量不适宜;次要因素为无指征使用抗菌药物;一般因素为重复用药、无正当理由二类精神药品超出7 d量、超说明书用药、适应证不适宜、禁忌证用药、给药途径不适宜。结论:药师应根据不合理用药发生的因素进行有效干预,提高合理用药水平,保证药学服务质量。
Objective:To understand the general situation of unreasonable drug use in outpatient and emergency prescriptions of our hospital,and analyze the causes of unreasonable drug use,so as to provide references for clinical rational drug use.Methods:Outpatient and emergency prescriptions of our hospital from January to December in 2018 were collected,and unreasonable prescriptions were classified.Pareto diagram was used to analyze the main factors,secondary factors and general factors.Results:The main factors of unreasonable drug use in outpatient and emergency prescriptions of our hospital were incomplete writing in clinical diagnosis and inappropriate usage and dosage.The secondary factor was the use of antibiotics without indication.The general factors were repeated drug use,class Ⅱ psychotropic drugs over 7 d,off-label drug use,inappropriate indications,contraindication medication,inappropriate drug delivery route.Conclusion:Pharmacists should make effective intervention according to the factors of unreasonable drug use,improve the level of rational drug use and ensure the quality of pharmaceutical care.
作者
刘蕊
朱蕊
LIU Rui;ZHU Rui(Department of Pharmacy,Tianjin People's Hospital,Tianjin 301700,China)
出处
《中国医药导刊》
2020年第2期114-117,共4页
Chinese Journal of Medicinal Guide
关键词
门急诊处方
合理用药
帕累托图
Outpatient and emergency prescriptions
Rational drug use
Pareto diagram
